Pinnacle Behavioral Health & Wellness — Same-Day Telepsychiatry in North Carolina
Virtual psychiatric care statewide for ADHD, anxiety, depression, PTSD, bipolar disorder, and medication management. Insurance and Medicaid accepted. No in-person visit required.
About Pinnacle Behavioral Health & Wellness
Pinnacle Behavioral Health & Wellness is a North Carolina–based psychiatric practice providing 100% virtual mental health care statewide. Founded by Afi Kpakossou, PMHNP-BC, the practice is staffed by board-certified Psychiatric Mental Health Nurse Practitioners who specialize in evidence-based evaluation and medication management for adults and adolescents across North Carolina.
We offer same-day and next-day telehealth appointments for ADHD evaluation, anxiety treatment, depression treatment, PTSD care, bipolar disorder management, insomnia treatment, and psychiatric medication management. All appointments are conducted via secure, HIPAA-compliant video — accessible from Charlotte, Raleigh, Greensboro, Durham, Wilmington, Asheville, Fayetteville, and every other city and county in North Carolina.
We accept most major insurance plans including Blue Cross Blue Shield of NC, Aetna, Cigna, UnitedHealthcare, Humana, Medicare, and NC Medicaid (Healthy Blue, WellCare, Trillium Health, and Carolina Complete Health). Tricare is also accepted. Self-pay rates are available.
Our Psychiatric Services
Pinnacle Behavioral Health offers a full range of outpatient telehealth psychiatric services for adults and adolescents throughout North Carolina. All care is delivered via secure video appointments — no in-person visits required.
ADHD Evaluation and Treatment — comprehensive adult and adolescent ADHD assessments, diagnosis, and medication management including stimulant and non-stimulant options
Anxiety Treatment — evidence-based care for generalized anxiety disorder (GAD), panic disorder, social anxiety disorder, and health anxiety
Depression Treatment — evaluation and medication management for major depressive disorder, seasonal affective disorder (SAD), and postpartum depression
PTSD Treatment — trauma-informed psychiatric care and medication management for post-traumatic stress disorder
Bipolar Disorder Treatment — mood stabilization, medication management, and ongoing psychiatric support for bipolar I and bipolar II disorder
Insomnia Treatment — evaluation and treatment of chronic insomnia and sleep disturbances with both behavioral and pharmacological approaches
Psychiatric Medication Management — ongoing prescription refills, medication adjustments, and collaborative monitoring for stable patients
Psychiatric Evaluation — thorough 45- to 60-minute initial evaluations covering mental health history, current symptoms, and treatment planning
Mental Health Conditions We Treat
Our providers are experienced in diagnosing and treating a wide range of psychiatric conditions via telehealth in North Carolina, including:
Our team of board-certified Psychiatric Mental Health Nurse Practitioners provides compassionate, evidence-based psychiatric care across North Carolina via telehealth.
Afi Kpakossou is a board-certified Psychiatric Mental Health Nurse Practitioner and founder of Pinnacle Behavioral Health & Wellness. She specializes in ADHD evaluation and treatment, anxiety, depression, PTSD, and psychiatric medication management for adults and adolescents in North Carolina. Afi provides all care via HIPAA-compliant telehealth and is dedicated to accessible, culturally sensitive psychiatric care statewide.
Fred Amematsro is a board-certified Psychiatric Mental Health Nurse Practitioner at Pinnacle Behavioral Health & Wellness. He specializes in ADHD, bipolar disorder, depression, anxiety, PTSD, and schizophrenia spectrum disorders. Fred conducts psychiatric evaluations and medication management visits via telehealth for patients throughout North Carolina.
Serving All of North Carolina
Because all of our psychiatric services are delivered via telehealth, we serve patients across every region of North Carolina — from the mountains to the coast. You can see a provider from the comfort of your home, office, or anywhere with a stable internet connection.
We serve patients in major cities and metro areas including:
Charlotte and the greater Charlotte metro area including Concord, Gastonia, Mooresville, and Monroe
Raleigh, Durham, Chapel Hill, and the Research Triangle region
Greensboro, Winston-Salem, High Point, and the Triad region
Wilmington and the coastal NC region including Jacksonville and New Bern
Fayetteville, Fort Liberty, and surrounding Cumberland County
We also serve patients in Coastal NC, the Triad region, and the Charlotte metro region, as well as many other cities including Burlington, Kannapolis, Rocky Mount, Wilson, Goldsboro, Greenville, Huntersville, Hickory, and Concord.
Insurance We Accept
Pinnacle Behavioral Health accepts most major insurance plans. Telehealth psychiatric visits are typically covered at the same rate as in-person visits. We accept:
Blue Cross Blue Shield of North Carolina (BCBS NC)
Aetna
Cigna / Evernorth
UnitedHealthcare / UHC / Optum
Humana
Medicare (Original Medicare and Medicare Advantage)
NC Medicaid — including Healthy Blue, WellCare, Trillium Health, and Carolina Complete Health
Tricare (for active-duty military, veterans, and their families)
Self-pay rates are $179 for an initial psychiatric evaluation and $99 for follow-up medication management visits. No referral is required to schedule an appointment.
Frequently Asked Questions
What is Pinnacle Behavioral Health & Wellness?
Pinnacle Behavioral Health & Wellness is a North Carolina–based psychiatric practice providing 100% virtual mental health care statewide. The practice is led by licensed Psychiatric Mental Health Nurse Practitioners (PMHNPs) and specializes in ADHD evaluation, anxiety treatment, depression treatment, PTSD care, and psychiatric medication management via secure telehealth appointments.
Can I see a psychiatric provider online in North Carolina?
Yes. North Carolina law allows fully virtual psychiatric care via telehealth. Pinnacle Behavioral Health serves patients throughout the state — from Charlotte and Raleigh to Asheville and Wilmington — with no in-person visit required. All appointments are conducted via secure HIPAA-compliant video.
Can I book a same-day psychiatric appointment in North Carolina?
Yes. Many patients are scheduled the same day or within 24 hours of requesting an appointment. Same-day telepsychiatry is available across North Carolina for ADHD, anxiety, depression, and medication management — no referral required.
Does insurance cover telepsychiatry in North Carolina?
Yes. Most major insurance plans cover telehealth psychiatric visits at the same rate as in-person visits. Pinnacle Behavioral Health accepts Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, Medicare, NC Medicaid (including Healthy Blue, WellCare, Trillium Health, and Carolina Complete Health), and Tricare.
What mental health conditions does Pinnacle Behavioral Health treat?
Pinnacle Behavioral Health treats ADHD (adult and adolescent), generalized anxiety disorder, panic disorder, social anxiety, major depressive disorder, seasonal depression, postpartum depression, PTSD, bipolar disorder, insomnia, and OCD. All care is delivered via HIPAA-compliant video appointments accessible from anywhere in North Carolina.
What should I expect at my first psychiatric appointment?
Your first appointment is a 45- to 60-minute evaluation via secure video. Your provider will review your current symptoms, mental health and medication history, family history, and how your condition is affecting your daily life. If medication is appropriate, a prescription is sent electronically to your preferred pharmacy the same day. Follow-up appointments are typically 20–30 minutes.
How is a psychiatrist different from a therapist?
A psychiatrist or psychiatric nurse practitioner can diagnose mental health conditions and prescribe medication. A therapist provides talk therapy and coping strategies but cannot prescribe. Many patients benefit from both — Pinnacle's providers can coordinate with your existing therapist for comprehensive care.
Do I need a referral to see a psychiatric provider at Pinnacle?
No referral is required. You can book directly online through our website or via Zocdoc. Same-day and next-day appointments are often available. Simply select a provider, choose a time that works for you, and complete your intake forms online before your appointment.
Mental Health Resources & Blog
Our blog covers a wide range of mental health topics including ADHD symptoms and treatment, anxiety management, depression signs and recovery, medication guides, sleep health, and telehealth tips. Recent articles include:
Telehealth Psychiatry Near NC-SC Border | Pinnacle BHW
•7 min read
Virtual Mental Health Care
Accessible telehealth therapy and psychiatric services for NC border communities
For residents living in North Carolina cities near the South Carolina border — like Rockingham, Kings Mountain, Monroe, and Wadesboro — accessing quality mental health care has historically meant long drives to larger cities or limited local options.
Thanks to the growth of telehealth, that is changing. At Pinnacle Behavioral Health & Wellness, we bring comprehensive therapy and psychiatric medication management directly to your home for eligible North Carolina residents.
Important Notice
We currently serve North Carolina residents only. While we serve many NC border communities, we do not provide services to South Carolina residents at this time.
The Rise of Telehealth in Rural NC Communities
Telehealth offers real advantages for residents in rural and border communities. Virtual mental health care may provide:
No Travel Required
Reduce long drives to larger cities for appointments
Flexible Scheduling
Appointments may fit more easily around work and family schedules
Privacy & Comfort
Attend sessions from the privacy of your own home
Licensed Care
Meet with trained North Carolina providers through secure virtual visits
What Services Are Available via Telehealth?
Pinnacle BHW offers virtual mental health services that may include:
Individual Therapy
Therapy support for anxiety, depression, trauma, relationship issues, and life transitions using evidence-based approaches.
Psychiatric Medication Management
Medication evaluations and follow-up care for ADHD, anxiety, depression, bipolar disorder, and related concerns.
Initial Psychiatric Evaluations
Comprehensive assessments to understand symptoms, history, and treatment goals.
Ongoing Follow-Up Care
Regular follow-ups to review progress, refill medications when appropriate, and adjust treatment plans as needed.
Safe Prescribing for Anxiety, Depression, and ADHD
Medication safety matters in telehealth just as much as in person. Providers follow clinical standards for evaluation, prescribing, monitoring, and follow-up.
Our Medication Safety Approach:
Thorough medical history review before prescribing
Regular monitoring of medication response and side effects
Care coordination with other providers when needed
Electronic prescriptions sent to your local pharmacy when appropriate
Medications commonly discussed in psychiatric care may include options for:
Anxiety: SSRIs, SNRIs, buspirone, hydroxyzine
Depression: antidepressant medications
ADHD: stimulant and non-stimulant medications
Insomnia: sleep-support medications and sleep counseling
Bipolar disorder: mood stabilizers and related medications
Serving NC Border Communities
We are proud to serve North Carolina residents in border cities including:
Western Border
Shelby
Kings Mountain
Gastonia
Southern Border
Monroe
Wadesboro
Rockingham
Major Cities
Charlotte
Pineville
Waxhaw
What to Expect from Your First Virtual Visit
1
Schedule Your Appointment
Call or book online. You will receive a secure video link and intake forms.
2
Complete Intake Forms
Fill out your medical history and current symptoms before your visit.
3
Join Your Video Session
Click the secure link at your appointment time.
4
Discuss Your Treatment Plan
Your provider will review options and may send medication to your local pharmacy if appropriate.
5
Schedule Follow-Up
Ongoing follow-up helps monitor progress and adjust care as needed.
Ready to Start Your Mental Health Journey?
If you are a North Carolina resident living near the SC border, we are here to help. No long drives, no waiting rooms — just quality care from home.
